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Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesTHE DOW CHEMICAL COMPANY : Aetna Choice POS II - Map PlusOption 1 - In AreaCoverage Period: 01/01/2020-12/31/2020Coverage for: EE Only; EE Family Plan Type: POSThe Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would sharethe cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is onlya summary. For more information about your coverage, or to get a copy of the complete terms of coverage, www.HealthReformPlanSBC.com or by calling 1888-982-3862. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or otherunderlined terms see the Glossary. You can view the Glossary at https://www.healthcare.gov/sbc-glossary/ or call 1-888-982-3862 to request a copy.Important QuestionsWhat is the overalldeductible?AnswersIn-Network (INN): EE Only (EO) 125; EE Family (FAM): Individual (IND) 125/FAM 375.Out-of-Network (OON): EO 500; EE FAM:IND 500/FAM 1,500.Are there services coveredbefore you meet yourdeductible?Yes. Preventive care & prescription drugs (RX);plus INN office visits are covered before youmeet your deductible.Are there other deductiblesfor specific services?Yes. For RX - EO 100 / EE FAM 300. Thereare no other specific deductibles.INN: EO 4% of Annual (ANN) Salary 8,150Max; EE FAM: IND 4% of ANN Salary 8,150Max/FAM 8% of ANN Salary 16,300 Max.OON: EO 8% of ANN Salary; EE FAM: IND8% of ANN Salary/FAM 12% of ANN Salary.Premiums, balance-billing charges, health carethis plan doesn't cover & penalties for failure toobtain pre-authorization for services.What is the out-of-pocketlimit for this plan?What is not included in theout-of-pocket limit?Why This Matters:Generally, you must pay all of the costs from providers up to the deductible amountbefore this plan begins to pay. If you have other family members on the plan, eachfamily member must meet their own individual deductible until the total amount ofdeductible expenses paid by all family members meets the overall family deductible.This plan covers some items and services even if you haven't yet met the deductibleamount. But a copayment or coinsurance may apply. For example, this plan coverscertain preventive services without cost sharing and before you meet your deductible.See a list of covered preventive services are-benefits/You must pay all of the costs for these services up to the specific deductible amountbefore this plan begins to pay for these services.The out–of–pocket limit is the most you could pay in a year for covered services. If youhave other family members in this plan, they have to meet their own out–of–pocketlimits until the overall family out–of–pocket limit has been met.Even though you pay these expenses, they don’t count toward the out–of–pocket limit.Will you pay less if you use anetwork provider?Yes. See www.aetna.com/docfind or call 1-888982-3862 for a list of Dow Family Health Centerproviders.You pay the least if you use a provider in Dow Family Health Center. You pay more ifyou use a provider in In-Network Provider. You will pay the most if you use an out-ofnetwork provider, and you might receive a bill from a provider for the differencebetween the provider’s charge and what your plan pays (balance billing). Be aware,your network provider might use an out-of-network provider for some services (suchas lab work). Check with your provider before you get services.Do you need a referral to seea specialist?No.You can see the specialist you choose without a referral.Proprietary712758-165773-9670161 of 8

All copayment and coinsurance costs shown in this chart are after your deductible has been met, if a deductible applies.Common MedicalEventServices You May NeedPrimary care visit to treat an injury orillnessIf you visit a healthcare provider’soffice or clinicSpecialist visitPreventive care /screening/immunizationIf you have a testDiagnostic test (x-ray, blood work)Imaging (CT/PET scans, MRIs)If you need drugsto treat yourillness orconditionProprietaryPreferred generic drugsDow Family HealthCenter(You will pay theleast) 10 copay/visit,deductible doesn'tapply; no charge foroffice laboratory &surgery 10 copay/visit,deductible doesn'tapply; no charge foroffice laboratory &surgeryNo chargeNo charge forlaboratory; 15%coinsurance forx-ray; whereapplicableNot applicableCopay/prescription: 2, after specificdeductibleWhat You Will PayIn-NetworkProvider(You will paymore) 20 copay/visit,deductible doesn'tapply; no charge foroffice laboratory;15% coinsurancefor office x-ray &surgery 50 copay/visit,deductible doesn'tapply; no charge foroffice laboratory;15% coinsurancefor office x-ray &surgeryOut-of-NetworkProvider(You will pay themost)Limitations, Exceptions, & OtherImportant Information30% coinsuranceNone30% coinsuranceNoneNo chargeNo chargeYou may have to pay for services thataren't preventive. Ask your provider ifthe services needed are preventive.Then check what your plan will payfor.No charge forlaboratory; 15%coinsurance forx-ray30% coinsuranceNone15% coinsurance20% coinsurance /prescription, afterspecific deductible(retail & mail order)30% coinsurance20% copay/prescription, afterspecific deductible(retail)NoneCovers 30 day supply (retail), 31-90day supply (mail order). Includescontraceptive drugs & devicesobtainable from a pharmacy, oral &712758-165773-9670162 of 8

Common MedicalEventMore informationabout prescriptiondrug coverage isavailable atwww.aetnapharmacy.com/advancedcontrolIf you haveoutpatient surgeryDow Family HealthCenter(You will pay theleast)Copay/prescription: 2, after specificdeductible (retail &mail order)What You Will PayIn-NetworkProvider(You will paymore)20% coinsuranceprescription, afterspecific deductible(retail & mail order)Out-of-NetworkProvider(You will pay themost)20% coinsurance /prescription, afterspecific deductible(retail)Non-preferred generic/brand drugsCopay/prescription: 2, after specificdeductible (retail &mail order)30% coinsurance /prescription, afterspecific deductible(retail & mail order)30% coinsurance /prescription, afterspecific deductible(retail)Specialty drugsCopay/prescription: 2, after specificdeductible (retail &mail order)20% coinsurance /prescription, afterspecific deductibleNot coveredNot applicable15% coinsurance30% coinsuranceNoneNot applicable15% coinsurance15% coinsuranceafter 100 copay/visit30% coinsurance15% coinsuranceafter 100 copay/visitNone30% coinsurance after 100 copay/visit for non-emergency use out-ofnetwork.30% coinsurance for non-emergencytransport.NoneMax copay/calendar year: 500.Penalty of 20% of allowed amount forfailure to obtain pre-authorization forout-of-network care.NoneServices You May NeedPreferred brand drugsFacility fee (e.g., ambulatory surgerycenter)Physician/surgeon feesEmergency room careIf you needimmediate medicalattentionEmergency medical transportationNot applicableNot applicable15% coinsurance15% coinsuranceUrgent careNot applicable 20 copay/visit30% coinsuranceFacility fee (e.g., hospital room)Not applicable15% coinsuranceafter 250 copay/stay30% coinsurancePhysician/surgeon feesNot applicable15% coinsurance30% coinsuranceIf you have ahospital stayProprietaryLimitations, Exceptions, & OtherImportant Informationinjectable fertility drugs. No charge forpreferred generic FDA-approvedwomen's contraceptives in-network.Review your formulary forprescriptions requiring precertificationor step therapy for coverage. Yourcost will be higher for choosing Brandover Generics. Maintenance drugsafter three retail fills, members arerequired to fill a 90-day supply at CVSCaremark Mail Service Pharmacy orCVS Pharmacy. Deductible waivedfor mail order drugs.First prescription fill and subsequentfills must be through the AetnaSpecialty Pharmacy Network. 200maximum copay for each 30 daysupply.712758-165773-9670163 of 8

Common MedicalEventIf you need mentalhealth, behavioralhealth, orsubstance abuseservicesServices You May NeedOutpatient servicesDow Family HealthCenter(You will pay theleast)Not applicableOut-of-NetworkProvider(You will pay themost)Office & otheroutpatient services:30% coinsuranceLimitations, Exceptions, & OtherImportant InformationNoneMax copay/calendar year: 500.Penalty of 20% of allowed amount forfailure to obtain pre-authorization forout-of-network care.Cost sharing does not apply forpreventive services. Maternity caremay include tests and servicesdescribed elsewhere in the SBC (i.e.ultrasound.) Max copay/calendaryear: 500. Penalty of 20% of allowedamount for failure to obtain preauthorization for out-of-network caremay apply.50 visits/calendar year. Penalty of20% of allowed amount for failure toobtain pre-authorization for out-ofnetwork care.Inpatient servicesNot applicable15% coinsuranceafter 250 copay/stayOffice visitsChildbirth/delivery professionalservicesNot applicableNo chargeNo chargeNot applicable15% coinsurance30% coinsuranceChildbirth/delivery facility servicesNot applicable15% coinsuranceafter 250 copay/stay; deductiblewaived for newbornhospital expenses30% coinsuranceHome health careNot applicable15% coinsurance30% coinsurance15% coinsurance30% coinsuranceNone15% coinsurance30% coinsuranceLimited to treatment of Autism &developmental delays up to age 18.If you are pregnantIf you need helprecovering or haveother specialRehabilitation serviceshealth needsHabilitation servicesProprietaryWhat You Will PayIn-NetworkProvider(You will paymore)Office: 20copay/visit,deductible doesn’tapply; otheroutpatient services:15% coinsurance 10 copay/visit,deductible doesn’tapply 10 copay/visit,deductible doesn’tapply30% coinsurance712758-165773-9670164 of 8

Common MedicalEventIf your child needsdental or eye careServices You May NeedDow Family HealthCenter(You will pay theleast)What You Will PayIn-NetworkProvider(You will paymore)Out-of-NetworkProvider(You will pay themost)Skilled nursing careNot applicable15% coinsuranceafter 250 copay/stayDurable medical equipment 10 copay/visit,deductible doesn'tapply15% coinsurance30% coinsuranceHospice servicesNot applicableNo chargeNo chargeChildren's eye examChildren's glassesChildren's dental check-upNo chargeNot coveredNot coveredNo chargeNot coveredNot coveredNo chargeNot coveredNot covered30% coinsuranceLimitations, Exceptions, & OtherImportant Information180 days/calendar year for out-ofnetwork care. Max copay/calendaryear: 500. Penalty of 20% of allowedamount for failure to obtain preauthorization for out-of-network care.Limited to 1 durable medicalequipment for same/similar purpose.Excludes repairs for misuse/abuse.Penalty of 20% of allowed amount forfailure to obtain pre-authorization forout-of-network care.1 routine eye exam/calendar year.Not covered.Not covered.Excluded Services & Other Covered Services:Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.) AcupunctureCosmetic surgery Dental care (Adult & Child)Glasses (Child) Long-term careNon-emergency care when traveling outside the U.S.Other Covered Services (Limitations may apply to these services. This isn’t a complete list. Please see your plan document.)Proprietary712758-165773-9670165 of 8

Bariatric surgery - Travel and Lodging limitedto 10,000 maximum for Institutes of Qualitycontracted facility.Chiropractic care - 30 visits/calendar year.Hearing aids - 3000 maximum/36 months. Infertility treatment - Limited to the diagnosis& treatment of underlying medical condition.Artificial insemination & ovulation induction: 6combined attempts/lifetime. Advancedreproductive technology: 3 attempts/lifetime.Cancer patients: 15,000/lifetime forcryopreservation.Private-duty nursing - 15,000maximum/calendar year.Routine eye care (Adult) - 1 routine eyeexam/calendar year. Routine foot care - If deemed medically necessary.Weight loss programsYour Rights to Continue Coverage:There are agencies that can help if you want to continue your coverage after it ends. The contact information for those agencies is: For more information on your rights to continue coverage, contact the plan at 1-888-982-3862. If your group health coverage is subject to ERISA, you may also contact the Department of Labor's Employee Benefits Security Administration at 1-866-444-EBSA (3272)or : https://www.dol.gov/agencies/ebsa For non-federal governmental group health plans, you may also contact the Department of Health and Human Services, Center for Consumer Information and InsuranceOversight, at 1-877-267-2323 x61565 or www.cciio.cms.gov. If your coverage is a church plan, church plans are not covered by the Federal COBRA continuation coverage rules. If the coverage is insured, individuals shouldcontact their State insurance regulator regarding their possible rights to continuation coverage under State law.Other coverage options may be available to you too, including buying individual insurance coverage through the Health Insurance Marketplace. For more information aboutthe Marketplace, visit www.HealthCare.gov or call 1-800-318-2596.Your Grievance and Appeals Rights:There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more informationabout your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim,appeal, or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Aetna directly by calling the toll free number on your Medical ID Card, or by calling our general toll free number at 1-888-982-3862. If your group health coverage is subject to ERISA, you may also contact the Department of Labor's Employee Benefits Security Administration at 1-866-444-EBSA(3272) or https://www.dol.gov/agencies/ebsa For non-federal governmental group health plans, you may also contact the Department of Health and Human Services, Center for Consumer Information and InsuranceOversight, at 1-877-267-2323 x61565 or www.cciio.cms.gov. Additionally, a consumer assistance program can help you file your appeal. Contact information is 66 of 8

Does this plan provide Minimum Essential Coverage? Yes.If you don't have Minimum Essential Coverage for a month, you'll have to make a payment when you file your tax return unless you qualify for an exemption from therequirement that you have health coverage for that month.Does this plan meet Minimum Value Standards? Yes.If your plan doesn't meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace.-------------------To see examples of how this plan might cover costs for a sample medical situation, see the next 3-9670167 of 8

About these Coverage Examples:This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will bedifferent depending on the actual care you receive, the prices your providers charge, and many other factors. Focus on the cost sharingamounts (deductibles, copayments and coinsurance) and excluded services under the plan. Use this information to compare the portion ofcosts you might pay under different health plans. Please note these coverage examples are based on self-only coverage.Managing Joe’s type 2 DiabetesPeg is Having a Baby(9 months of in-network pre-natal care and ahospital delivery) The plan's overall deductible Specialist copayment Hospital (facility) coinsurance Other coinsurance 125 1015%15%This EXAMPLE event includes services like:Specialist office visits (prenatal care)Childbirth/Delivery Professional ServicesChildbirth/Delivery Facility ServicesDiagnostic tests (ultrasounds and blood work)Specialist visit (anesthesia)Total Example CostIn this example, Peg would pay:Cost SharingDeductibles*CopaymentsCoinsuranceWhat isn't coveredLimits or exclusionsThe total Peg would pay is 12,800 200 20 1,700 60 1,980Mia’s Simple Fracture(a year of routine in-network care of a wellcontrolled condition) The plan's overall deductible Specialist copayment Hospital (facility) coinsurance Other coinsurance(in-network emergency room visit and follow upcare) 125 1015%15%This EXAMPLE event includes services like:Primary care physician office visits (includingdisease education)Diagnostic tests (blood work)Prescription drugsDurable medical equipment (glucose meter)Total Example CostIn this example, Joe would pay:Cost SharingDeductibles*CopaymentsCoinsuranceWhat isn't coveredLimits or exclusionsThe total Joe would pay is The plan's overall deductible Specialist copayment Hospital (facility) coinsurance Other coinsurance 125 1015%15%This EXAMPLE event includes services like:Emergency room care (including medicalsupplies)Diagnostic test (x-ray)Durable medical equipment (crutches)Rehabilitation services (physical therapy) 7,400 100 300 0 20 420Total Example CostIn this example, Mia would pay:Cost SharingDeductibles*CopaymentsCoinsuranceWhat isn't coveredLimits or exclusionsThe total Mia would pay is 1,900 100 50 200 0 350Note: These numbers assume the patient does not participate in the plan's wellness program. If you participate in the plan's wellness program, you may be able to reduceyour costs. For more information about the wellness program, please contact: 1-888-982-3862.*Note: This plan has other deductibles for specific services included in this coverage example. See "Are there other deductibles for specific services?" row aboveProprietaryThe plan would be responsible for the other costs of these EXAMPLE covered services.712758-165773-9670168 of 8

Assistive TechnologyPersons using assistive technology may not be able to fully access the following information. For assistance, please call 1-888-982-3862.Smartphone or TabletTo view documents from your smartphone or tablet, the free WinZip app is required. It may be available from your App Store.Non-DiscriminationAetna complies with applicable Federal civil rights laws and does not discriminate, exclude or treat people differently based on their race, color, national origin,sex, age, or disability.Aetna provides free aids/services to people with disabilities and to people who need language assistance.If you need a qualified interpreter, written information in other formats, translation or other services, call the number on your ID card.If you believe we have failed to provide these services or otherwise discriminated based on a protected class noted above, you can also file a grievance with theCivil Rights Coordinator by contacting:Civil Rights Coordinator,P.O. Box 14462, Lexington, KY 40512 (CA HMO customers: PO Box 24030 Fresno, CA 93779),1-800-648-7817, TTY: 711, Fax: 859-425-3379 (CA HMO customers: 1-860-262-7705),Email: [email protected] can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights Complaint Portal, available athttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building,Washington, DC 20201, or at 1-800-368-1019, 800-537-7697 (TDD).Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, CoventryHealth Care plans and their affiliates (Aetna).Proprietary

TTY: 711Language Assistance:For language assistance in your language call 1-888-982-3862 at no cost.Albanian -Për asistencë në gjuhën shqipe telefononi falas në 1-888-982-3862.Amharic -ለቋንቋ እገዛ በ አማርኛ በ 1-888-982-3862 በነጻ ይደውሉArabic -1-888-982-3862Armenian -Լեզվի ցուցաբերած աջակցության (հայերեն) զանգի 1-888-982-3862 առանց գնով:Bahasa Indonesia -Untuk bantuan dalam bahasa Indonesia, silakan hubungi 1-888-982-3862 tanpa dikenakan biaya.Bantu-Kirundi -Niba urondera uwugufasha mu Kirundi, twakure kuri iyi nomero 1-888-982-3862 ku busaBengali-Bangala -বাাংলায় ভাষা সহায়তার জন্য ববন্ামুল্লয 1-888-982-3862-তত কল করুন্।Bisayan-Visayan -Alang sa pag-abag sa pinulongan sa (Binisayang Sinugboanon) tawag sa 1-888-982-3862 nga walay bayad.Burmese -1-888-982-3862Catalan -Per rebre assistència en (català), truqui al número gratuït 1-888-982-3862.Chamorro -Para ayuda gi fino' (Chamoru), ågang 1-888-982-3862 sin gåstu.Cherokee -ᎾᏍᎩᎾ ᎦᏬᏂᎯᏍᏗ ᏗᏂᏍᏕᎵᏍᎩ ᎾᎿᎢ (ᏣᎳᎩ) ᏫᏏᎳᏛᎥᎦ 1-888-982-3862 ᎤᎾᎢ Ꮭ ᎪᎱᏍᏗ ᏧᎬᏩᎵᏗ ᏂᎨᏒᎾ.Chinese -欲取得繁體中文語言協助,請撥打 1-888-982-3862,無需付費。Choctaw -(Chahta) anumpa ya apela a chi I paya hinla 1-888-982-3862.Cushite -Gargaarsa afaan Oromiffa hiikuu argachuuf lakkokkofsa bilbilaa 1-888-982-3862 irratti bilisaan bilbilaa.Dutch -Bel voor tolk- en vertaaldiensten in het Nederlands gratis naar 1-888-982-3862.French -Pour une assistance linguistique en français appeler le 1-888-982-3862 sans frais.French Creole -Pou jwenn asistans nan lang Kreyòl Ayisyen, rele nimewo 1-888-982-3862 gratis.German -Benötigen Sie Hilfe oder Informationen in deutscher Sprache? Rufen Sie uns kostenlos unter der Nummer 1-888-982-3862 an.Greek -Για γλωσσική βοήθεια στα Ελληνικά καλέστε το 1-888-982-3862 χωρίς χρέωση.Gujarati -ગુજરાતીમાાં ભાષામાાં સહાય માટે કોઈ પણ ખર્ચ વગર 1-888-982-3862 પર કૉલ કરો.Hawaiian -No ke kōkua ma ka ʻōlelo Hawaiʻi, e kahea aku i ka helu kelepona 1-888-982-3862. Kāki ʻole ʻia kēia kōkua nei.Proprietary

Hindi Hmong -1-888-982-3862Yog xav tau kev pab txhais lus Hmoob hu dawb tau rau 1-888-982-3862.Ibo -Maka enyemaka asụsụ na Igbo kpọọ 1-888-982-3862 na akwụghị ụgwọ ọ bụlaIlocano -Para iti tulong ti pagsasao iti pagsasao tawagan ti 1-888-982-3862 nga awan ti bayadanyo.Italian -Per ricevere assistenza linguistica in italiano, può chiamare gratuitamente 1-888-982-3862.Japanese 82-3862 まで無料でお電話ください。Karen Korean -1-888-982-3862한국어로 언어 지원을 받고 싶으시면 무료 통화번호인 1-888-982-3862 번으로 전화해 주십시오.Kru-Bassa Kurdish Laotian Marathi Marshallese MicronesianPohnpeyan भाषा (मराठी) सहाय्यासाठी 1-888-982-3862 रा.Ñan bōk jipañ ilo Kajin Majol, kallok 1-888-982-3862 ilo ejjelok wōnān.Ohng palien sawas en soun kawewe ni omw lokaia Ponape koahl 1-888-982-3862 ni sohte isais.Mon-Khmer,Cambodian Navajo -T'áá shi shizaad k'ehjí bee shíká a'doowol nínízingo Diné k'ehjí koji' t'áá jíík'e hólne' 1-888-982-3862Nepali -(नेपाली) मा ननिःिुल्क भाषा सहायता पाउनका लागि 1-888-982-3862 मा फोन िनहुा ोस ् ।Nilotic-Dinka -Tën kuɔɔny ë thok ë Thuɔŋjäŋ cɔl 1-888-982-3862 kecïn aɣöc.Norwegian -For språkassistanse på norsk, ring 1-888-982-3862 kostnadsfritt.Panjabi -ਪੰ ਜਾਬੀ ਵ ਿੱ ਚ ਭਾਸ਼ਾਈ ਸਹਾਇਤਾ ਲਈ, 1-888-982-3862 ‘ਤੇ ਮੁਫ਼ਤ ਕਾਲ ਕਰੋ।1-888-982-3862Pennsylvania Dutch - Fer Helfe in Deitsch, ruf: 1-888-982-3862 aa. Es Aaruf koschtet nix.Persian Polish Portuguese Romanian Proprietary1-888-982-3862Aby uzyskać pomoc w języku polskim, zadzwoń bezpłatnie pod numer 1-888-982-3862.Para obter assistência linguística em português ligue para o 1-888-982-3862 gratuitamente.Pentru asistenţă lingvistică în româneşte telefonaţi la numărul gratuit 1-888-982-3862

Russian -Чтобы получить помощь русскоязычного переводчика, позвоните по бесплатному номеру 1-888-982-3862.Samoan -Mo fesoasoani tau gagana I le Gagana Samoa vala'au le 1-888-982-3862 e aunoa ma se totogi.Serbo-Croatian -Za jezičnu pomoć na hrvatskom jeziku pozovite besplatan broj 1-888-982-3862.Spanish -Para obtener asistencia lingüística en español, llame sin cargo al 1-888-982-3862.Sudanic-Fulfude -Fii yo on heɓu balal e ko yowitii e haala Pular noddee e oo numero ɗoo 1-888-982-3862. Njodi woo fawaaki on.Swahili -Ukihitaji usaidizi katika lugha ya Kiswahili piga simu kwa 1-888-982-3862 bila malipo.Syriac -1-888-982-3862Tagalog -Para sa tulong sa wika na nasa Tagalog, tawagan ang 1-888-982-3862 nang walang bayad.Telugu -భాషతో సాయం కొరకు ఎల ంటి ఖరచు లేకుండా 1-888-982-3862 కు కాల్ చేయండి. (తెలుగు)Thai -สำหรับควำมชว่ ยเหลือทำงด ้ำนภำษำเป็ น ภำษำไทย โทร 1-888-982-3862 ฟรีไม่มคี ำ่ ใชจ่้ ำยTongan -Kapau ‘oku fiema'u hā tokoni ‘i he lea faka-Tonga telefoni 1-888-982-3862 ‘o ‘ikai hā ōtōngi.Trukese -Ren áninnisin chiakú ren (Kapasen Chuuk) kopwe kékkééri 1-888-982-3862 nge esapw kamé ngonuk.Turkish -(Dil) çağrısı dil yardım için. Hiçbir ücret ödemeden 1-888-982-3862.Ukrainian -Щоб отримати допомогу перекладача української мови, зателефонуйте за безкоштовним номером 1-888-982-3862.Urdu -1-888-982-3862Vietnamese Yiddish Yoruba -1-888-982-3862.1-888-982-3862Fún ìrànlọwọ nípa èdè (Yorùbá) pe 1-888-982-3862 lái san owó kankan rárá.Form No. 318-70013-01Proprietary

THE DOW CHEMICAL COMPANY : Aetna Choice POS II - Map Plus Option 1 - In Area Coverage Period: 01/01/2020-12/31/2020 Coverage for: EE Only; EE Family Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services.